RAFAELA GJONDREKAJ CAA
NPI 1265157291
Anesthesiologist Assistant in Jacksonville, FL

Q: What is Rafaela Gjondrekaj's NPI number?

The NPI number for Rafaela Gjondrekaj is 1265157291. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Q: What is Rafaela Gjondrekaj's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since October 12, 2022

807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2023, Oct 28, 2022, Oct 12, 2022 (3 updates tracked since 2022).

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About Rafaela Gjondrekaj Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAELA GJONDREKAJ CAA (NPI 1265157291) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA779) and active in the NPI registry since October 2022. She maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1265157291

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameRAFAELA GJONDREKAJCredential: CAA

Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426

Mailing Address807 Childrens WayJacksonville, FL 32207-8426 · (904) 333-2142

Phone(904) 697-3600

Sole ProprietorNo

Enumeration DateOctober 12, 2022

Last NPPES UpdateFebruary 26, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2024

✔ NPI 1265157291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Licenses✔ Licensed in FL · AA779✔ Licensed in IN · 75000161A

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

807 CHILDRENS WAY, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 274-0275 · Fax (317) 274-0256

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafaela Gjondrekaj Caa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Rafaela Gjondrekaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc

2.3 mi

Neurological Surgery

580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1225298599 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH FRANZ-JOSEPH HEARN MD

Pediatrics

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 697-3600

MR. HUGH E. GRIFFENKRANZ PA-C

Physician Assistant

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3737

JACQUELINE M NOE

Physician Assistant

807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207

Duval County (904) 697-3600

ERIC P. SHERLIN R.PH

Pharmacist

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3601

KELLY MARIE SUMMERS ARNP

Nurse Practitioner

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 697-3600

ROBERT C SPRECHER MD

Otolaryngology (Pediatric Otolaryngology)

807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207

Duval County (904) 697-3694

DR. DOREEN RADJENOVIC ARNP

Nurse Practitioner

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3759

GRACE ELIZABETH ALLEMAN SLP

Speech-Language Pathologist

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (907) 697-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafaela Gjondrekaj's NPI number?

The NPI number for Rafaela Gjondrekaj is 1265157291. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Rafaela Gjondrekaj located?

Rafaela Gjondrekaj practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is Rafaela Gjondrekaj's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Rafaela Gjondrekaj enrolled in Medicare?

Yes. Rafaela Gjondrekaj is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rafaela Gjondrekaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafaela Gjondrekaj reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafaela Gjondrekaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafaela Gjondrekaj was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.